Personal Details

Do you hold a full, not endorsed and valid driving license in South Africa?


Highest qualifications obtained from Schools, Colleges and Universities

Previous Employment

Employment Record 1

Employment Record 2

Employment Record 3

Employment Record 4

Banking Details


I, hereby declare on this the 23 day of April, 2017 that:

  • all the information given by me on this form is correct to the best of my knowledge.
  • all questions relating to me have been accurately and fully answered.
  • I possess all the qualifications which I claim to hold.
  • I have read and, if appointed, am prepared to accept the conditions set out in the conditions of employment and the job description.
  • I confirm that the banking details are correct and I authorise Work On Temp to transfer any monies due to me into my Banking Account.
  • I hereby give my consent to Work On Temp to conduct the necessary credit- and criminal checks on me.
  • When registered with Work On Temp, you are not allowed to also be registered at another Temporary Employment Service.

Accept Declaration